<section class="register">
  <div class="container">
    <div class="row_fluid">
      <div class="span12">
        <h1>Recharge Balance</h1>
        
        <?php echo form_open('dashboard/recharge') ?>
          <fieldset>
            <input type="text" name="amount" placeholder="Amount" required>
          </fieldset>
          
          <fieldset>
            <input type="submit" value="Pay using PayPal" class="btn success">
          </fieldset>
        <?php echo form_close() ?>
      </div>
    </div>
  </div>
</section>